Related Experiment Video
Updated: Jun 13, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Cost effective analysis after patient communication training in obstetrics - Evaluating economic efficiency
Beate Hüner1, Anand Kumar Vinayak2, Martina Schmiedhofer2,3
1University Hospital Ulm, Department for Gynecology and Obstetrics, Prittwitzstr. 43, 89075, Ulm, Germany.
Effective communication training for expectant mothers significantly reduces obstetric costs and improves patient safety, especially for those experiencing complications. This intervention enhances care and addresses health inequalities.
Area of Science:
- Obstetrics and Gynecology
- Health Economics
- Patient Safety
Background:
- Effective teamwork and communication are crucial in obstetrics to prevent adverse childbirth events.
- These events carry significant costs and long-term impacts for families and healthcare systems.
- Communication breakdowns can exacerbate health inequalities for pregnant women with social risk factors.
Purpose of the Study:
- To evaluate the cost-effectiveness of a communication training intervention for expectant mothers.
- To assess the impact of this training on patient safety and healthcare costs in obstetrics.
Main Methods:
- An experimental intervention study involving 76 pregnant women in the intervention group and 88 in the control group.
- Cost-effectiveness analysis using Diagnosis Related Groups (DRG) classification, internal medical costs, and insurance reimbursement.
- Assessment of patient characteristics, co-morbidities, and risk factors.
Main Results:
- Patient training, including communication skills, resulted in lower costs per patient (3053 Euros vs. 4523 Euros for complicated cases; 2168 Euros vs. 2418 Euros for uncomplicated cases).
- A significant reduction in average patient costs by 30% was observed in the intervention group for women experiencing complications.
- The training positively impacted patient safety, particularly in cases with complications.
Conclusions:
- Communication training for expectant parents enhances patient safety and reduces healthcare costs in obstetrics.
- Implementing such programs merges economic efficiency with progressive obstetric care.
- Improved communication can help articulate needs and mitigate health inequalities for vulnerable pregnant populations.
More Related Videos
Related Concept Videos
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Role of Communication in the Nursing Process II: Planning and Implementation
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Role of Communication in the Nursing Process III: Evaluation and Documentation

